Organization
HEALTHY CREATIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE ERIK THOMPSON DC (PRESIDENT)
(208) 853-2277
Entity
Organization
Contact information
Practice address
2999 N LAKEHARBOR LN STE 201, BOISE, ID 83703-6291
(208) 853-2277
(208) 853-2278
Mailing address
2999 N LAKEHARBOR LN STE 201, BOISE, ID 83703-6291
(208) 853-2277
(208) 853-2278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA730
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010022893
REGENCE
ID
05
—
002738600
—
ID
01
—
100000030009
REGENCE
—
01
—
C9969
BLUE CROSS
ID
Enumeration date
08/03/2012
Last updated
09/13/2012
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